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NPI Code Detail

MEDICARE: TAMAR NUSSBAUM CNP

MEDICARE: TAMAR NUSSBAUM CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN.CNP.0035043OH
2363LF0000XFamily Nurse PractitionerF10221101OH

General Provider Information

NPI Number : 1437934668
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMAR NUSSBAUM CNP
Provider Business Mailing Address
First Line : 4800 N SCOTTSDALE RD STE 2500
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-7630
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 25101 CHAGRIN BLVD STE 100
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-5694
Country : US
Telephone Number : 216-831-6611
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2023
Last Update Date : 04/06/2026

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